If Yes, what was your High School Graduation Date?(MM/DD/YYYY)Required

If NO, do you have a GED?

Name of High School You Attended

Address of High School You Attended

Please list College(s) that you have attended since your last enrollment at NorthlandRequired

Have you ever served or are you currently serving in the United States Military?Required

5. Voluntary Information

Providing the following information is voluntary. This information will assist Northland in evaluating student recruitment and retention policies; it will not be used as a basis for admission.

Ethnic OrginOptional

Date of Birth(MM/DD/YYYY)Optional

GenderOptional

What is the highest level of education for your parent(s)/guardian(s)? Please respond for the parent(s), step-parent(s) adoptive parent(s) or guardian(s) who raised you.

Parent/Guardian #1Optional

Parent/Guardian #2Optional

ATTENTION: If you have been arrested, charged or convicted of any criminal offense, you should investigate that the arrest, charge or conviction may have on your chances of employment in the field you intend to study or on your chances to obtain federal, state and other higher education financial aid.